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在可预防的住院治疗中阿巴拉契亚山区的差距:我们是否看到任何进展?
Rachel Hogg-Graham1, Juan Lang2, Teresa M Waters3
1University of Kentucky, College of Public Health, rachel.hogg@uky.edu.
Journal of Appalachian health
|November 29, 2023
概括
肯塔基州的农村阿巴拉契亚县的可预防住院率高于其他地区. 尽管有趋势,但差距仍然存在,这表明仅仅获得护理就不足以改善.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村健康差异 农村健康差异
- 人口健康管理 人口健康管理
背景情况:
- 在农村和城市环境之间记录了可预防住院治疗的地理差异.
- 人们对不同农村地区的差异知之甚少,例如农村阿巴拉契亚地区.
- 贫困和获得护理的挑战可能会增加阿巴拉契亚农村地区可预防的住院治疗.
研究的目的:
- 调查肯塔基州可预防住院率的农村差异.
- 分析2016年至2019年这些利率的时间趋势.
- 为了确定农村阿巴拉契亚和非阿巴拉契亚县之间的差距是否在变化.
主要方法:
- 使用肯塔基州医院出院数据 (2016-2019) 对县级可预防住院率的分析.
- 应用回归模型来评估纵向趋势和"阿巴拉契亚山区间".
- 农村阿巴拉契山区,农村非阿巴拉契山区和城市县之间的比较率.
主要成果:
- 农村阿巴拉契亚县持续显示可预防的住院率显著更高 (p < 0.01).
- 在阿巴拉契亚农村地区,总体可预防住院病例的下降趋势被观察到,而其他地区保持稳定.
- 在研究期间,回归分析表明"阿巴拉契亚山区间差距"没有显著减少.
结论:
- 肯塔基州的农村地区在可预防的住院率方面表现出显著的异质性.
- 医疗补助扩张并没有明显缩小住院患者的"阿巴拉契亚山区差距".
- 建议在阿巴拉契亚农村地区采取解决复杂社会和健康需求的人口健康方法.
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